Journal of Liver

Koichi Hirata

Publications

• Research Article
  Left Lateral Sectionectomy Performed Under Minimal Open Access after the Completion of Hand-Assisted Laparoscopic Mobilization
  Author(s): Toru Mizuguchi, Masaki Kawamoto, Makoto Meguro, Shigenori Ota, Masayuki Ishii, Kenji Okita, Yasutoshi Kimura, Tomohisa Furuhata and Koichi HirataToru Mizuguchi, Masaki Kawamoto, Makoto Meguro, Shigenori Ota, Masayuki Ishii, Kenji Okita, Yasutoshi Kimura, Tomohisa Furuhata and Koichi Hirata
  
  Purpose: Left lateral sectionectomy is one of the best methods for laparoscopic anatomical liver resection. We have developed a three-port method for anatomical left lateral sectionectomy, in which the sectionectomy is performed via a minimal incision after hand-assisted laparoscopic mobilization. Methods: Access for the open laparotomy was obtained by making an 8 cm incision for a hand port. The other ports were used as the camera port and working port. Liver immobilization was completed under pneumoperitoneum. Fingertip tape ligation is a very simple method for encircling the hepatoduodenal ligament and does not require any special equipment. The standard open technique was then employed for liver dissection through the minilaparotomy. We compared the clinical and operative variables of the patients that underwent the open procedure (n = 6.. View More»
  DOI: 10.4172/2167-0889.1000141

  Abstract PDF